Adult and Pediatric Dermatology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2338781 Issued in NY

Legal business name

ADULT AND PEDIATRIC DERMATOLOGY PC

Practice address

1078 Oaks Dr
Franklin Square, NY 11010-1941

Phone

(516) 442-0133

Fax

(516) 442-0131

NPI assigned

Mar 19, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carissa A Summa, D.O.

Title

Owner

Phone

(561) 364-2626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ross Zeltser, MD

  • MOHS-Micrographic Surgery Physician
  • Fishkill, NY
  • NPI 1194769851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1467623249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 OAKS DR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101941",
            "telephone_number": "516-442-0133",
            "fax_number": "516-442-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 OAKS DR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101941",
            "telephone_number": "516-442-0133",
            "fax_number": "516-442-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "SUMMA",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-364-2626",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2338781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shana Abraham
• Joseph R Accetta Jr., D.O
• Jasmita Adhikari
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• Aftab Chaudhri
• Emily Agate
• Doaa Ahmed, RPH
• Alex G Pappas, DDS, PLLC

• Specialist in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.